[Hiring] Physician Billing Compliance Analyst @UF Health

Role Description

Under limited supervision, the Physician Billing Compliance Analyst (“Analyst”) will perform physician coding/documentation audits for providers of the University of Florida College of Medicine - Jacksonville (“COM-Jax”) and the University of Florida Jacksonville Physicians Group (“UFJPI”). The Analyst will also perform abbreviated reviews on newly hired providers’ documentation outside of the regular compliance audit cycle. Audit focus will be on physician/advanced practice professional coding and chart documentation to include review of E&M, CPT, ICD-10-CM, HCPCS Level II, teaching physician guidelines and carrier specific policies. The Analyst will utilize medical management systems as well as auditing software applications to perform reviews. The Analyst will prepare and present accurate reports of audit findings to appropriate personnel. The Analyst will coordinate with various COM-Jax and UFJPI representatives to process any resulting refunds and address educational needs from the audit findings.

Qualifications

• 2 years Medical billing - required
• 4 years Medical coding (procedural and diagnosis) for multi-specialty providers - required
• 3 years Medicare, Medicaid, and Tricare payment and reimbursement rules - required
• 3 years Medical record chart auditing for professional billing - required
• 1 year Medical management information systems (EPIC preferred) - required
• 1 year Auditing software applications (e.g. MDaudit, Compliance Risk Analyzer) - preferred

Requirements

• High School Diploma or GED - required
• Associates Business or health care industry related field - preferred

Certification/Licensure/Training

• Certified Coding Specialist - required or at time of hire
• Certified Coding Specialist - Physician Based (CCS-P) - AHIMA - required or at time of hire
• Certified Professional Coder (CPC) - required or at time of hire
• Certified Professional Medical Auditor (CPMA) - required within 6 months

Company Description

UFJPI is an Equal Opportunity Employer and Drug Free Workplace.